Provider First Line Business Practice Location Address:
12500 STOCKDALE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93314-9649
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-564-3300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2014